Welcome
Welcome to the Athens Administrators and Redwood Empire Municipal Insurance Fund (REMIF) workers’ compensation website. This website was developed to assist REMIF’s members with their workers’ compensation program.
It is Athens goal to provide you with exceptional service. For your convenience, we have tailored your website to have valuable information needed for claims reporting, obtaining information such as state mandated reporting requirements and necessary forms for your workers’ compensation program.
On behalf of your Athens Claims Team we are committed to work together in providing you with all the tools and information you need to manage your workers’ compensation program. If you need any further assistance or have questions, please feel free to contact us via the Contact tab above.
Regards,
Athens Administrators
Report a Claim
| Internet: | Athens Portal |
| User Name and Password | |
| Provided by Gina Popejoy | |
| Support: | Gina Popejoy |
| Mail: | P.O. Box 696, Concord, CA 94522 |
| Phone: | (925) 826-1129 |
Client Login
| Internet: | Athens Portal |
| User Name and Password | |
| Provided by Gina Popejoy | |
| Support: | Gina Popejoy |
| Mail: | P.O. Box 696, Concord, CA 94522 |
| Phone: | (925) 826-1129 |
Forms
Letter to Cities
Letter for WORK-RELATED INJURY & ILLNESS: A SUPERVISOR’S RESPONSIBILITIES.
Supervisor Report of Employee Injury or Illness
Incident Only Report
Time of Hire – English:
Time of Hire – Spanish:
DWC-1:
Form for Injured Workers filing a workers’ compensation claim with your employer.
Form 5020:
Employers use this form to report occupational injury or illness.
DWC-9783:
Pre-designation of personal physician form.
Medical Service Order:
Claims Team
If you have any questions or concerns, don’t hesitate to contact a member of our claims team by clicking below.
Ann Jensen
ajensen@athensadmin.com
T: (925) 826-1234
F: (925) 887-6622
Additional Support:
Jeanette Mason, Division Claims Manager
Phone (925) 826-1160
Fax (925) 609-5434
jmason@athensadmin.com
Lakisha Jones-Bishop, Claims Supervisor
Phone (925) 826-1246
Fax (925) 887-6895
ljonesbishop@athensadmin.com
Joel Unpingco, Future Medical Claims Examiner
Phone (925) 826-1235
Fax (925) 887-6891
junpingo@athensadmin.com
Alysse Ducummon, Assistant Claims Examiner
Phone (925) 826-1121
Fax (925) 887-6881
aducummon@athensadmin.com